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1699880682

NPI Code Detail

MEDICARE: JOY ANITA MASSEAUX MD

MEDICARE: JOY ANITA MASSEAUX MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	225928	NY
2	2085R0202X	Diagnostic Radiology Physician	ME163871	FL
3	2085P0229X	Pediatric Radiology Physician	ME163871	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00971869	OTHER	NY	RXR MCR
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	932T51	OTHER	NY	BCBS
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699880682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOY ANITA MASSEAUX MD

Provider Business Mailing Address
First Line	:	501 6TH AVE S
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33701-4634
Country	:	US
Telephone Number	:	727-767-3318
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 6TH AVE S
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33701-4634
Country	:	US
Telephone Number	:	727-767-3318
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	04/30/2025

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Directions to “ JOY ANITA MASSEAUX MD” Practice Location

Language	Start Address	Practice Location

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